Deactivated NPI 1730117078 Deactivated / Inactive NPI Male Practitioner

Robert Segarra , PA-C

Physician Assistant • Edgewater, FL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Robert Segarra has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 28, 2006

NPI Deactivation Date August 07, 2025

Total Practice Duration ~19 Years of Practice (2006 – 2025)

Professional Overview & Biography Verified Profile Summary

Robert Segarra, PA-C was a registered Physician Assistant practicing in Edgewater, FL. Throughout an active medical career spanning 19 years, Robert Segarra provided care at the practice location at 812 W INDIAN RIVER BLVD until profile deactivation on 2025-08-07.

Historical Medicare Part B clinical services included established patient outpatient office visit, aspiration and/or injection of fluid large joint using ultrasound guidance, x-ray of hip, 2-3 views. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

812 W Indian River Blvd

Edgewater, FL 321323429

Telephone 3864261411

Fax 3764260457

Associated Practice Facility / Clinic

🏢 New Smyrna Orthopedics Pa Facility NPI 1760596902

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Edgewater, FL

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 25.2 Yrs

State Avg: 11.1 Yrs

Regional Practice Density

6 Specialists

Practicing in Edgewater, FL (10376 Statewide)

Telehealth Adoption Rate

16.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

53.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	93	71	$165.00	$105.84
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	40	25	$210.00	$84.17
99213 Established patient office or other outpatient visit, typically 15 minutes	31	31	$130.00	$75.00
73502 X-ray of hip, 2-3 views	20	17	$70.00	$37.96
76882 Limited ultrasound scan of joint or other extremity structure except blood vessels	19	11	$70.00	$51.43
73560 X-ray of knee, 1-2 views	14	12	$50.00	$27.49
99156 Moderate sedation services by physician not performing a procedure, patient 5 years of age or older, first 15 minutes	13	11	$300.00	$63.35
99157 Use of a drug to induce depression of consciousness by physician not performing a procedure, each additional 15 minutes	13	11	$75.00	$49.77

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	144	104	$165.00	$106.34
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	58	30	$220.69	$88.52
99213 Established patient office or other outpatient visit, typically 15 minutes	40	38	$130.00	$75.15
76882 Limited ultrasound scan of joint or other extremity structure except blood vessels	23	17	$70.00	$35.49
20552 Injections of trigger points in 1 or 2 muscles	14	12	$85.00	$44.42

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	79	62	$130.00	$75.71
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	73	41	$216.99	$92.14
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	44	42	$70.00	$47.87
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	42	34	$165.00	$107.09
76882 Limited ultrasound scan of joint or other extremity structure except blood vessels	37	24	$70.00	$47.00
20552 Injections of trigger points in 1 or 2 muscles	21	18	$85.00	$45.94
72100 X-ray of lower and sacral spine, 2-3 views	13	12	$62.00	$33.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	81	64	$130.00	$77.62
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg	59	11	$2.00	$0.03
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	56	33	$163.39	$88.75
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	36	35	$70.00	$47.40
76882 Limited ultrasound scan of joint or other extremity structure except blood vessels	33	21	$70.00	$47.28
20552 Injections of trigger points in 1 or 2 muscles	18	14	$85.00	$46.80
73030 X-ray of shoulder, minimum of 2 views	17	14	$50.00	$28.47
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	16	15	$165.00	$110.25
72100 X-ray of lower and sacral spine, 2-3 views	11	11	$62.00	$33.00

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg	204	45	$2.00	$0.03
J1100 Injection, dexamethasone sodium phosphate, 1 mg	148	28	$1.00	$0.12
99213 Established patient office or other outpatient visit, typically 15 minutes	109	85	$123.94	$63.72
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	65	37	$166.15	$85.21
76882 Limited ultrasound scan of joint or other extremity structure except blood vessels	34	25	$70.00	$47.70
73030 X-ray of shoulder, minimum of 2 views	19	18	$50.00	$27.39
20552 Injections of trigger points in 1 or 2 muscles	19	17	$85.00	$48.22
73560 X-ray of knee, 1-2 views	18	12	$50.00	$27.64
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	16	13	$70.00	$38.55
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	15	15	$165.00	$92.38
72100 X-ray of lower and sacral spine, 2-3 views	14	14	$62.00	$31.58
72170 X-ray of pelvis, 1-2 views	11	11	$55.00	$23.67

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg	194	47	$2.57	$0.04
99213 Established patient office or other outpatient visit, typically 15 minutes	142	114	$120.00	$62.34
J1100 Injection, dexamethasone sodium phosphate, 1 mg	140	20	$1.46	$0.12
20611 Aspiration and/or injection of fluid large joint using ultrasound guidance	68	48	$172.06	$83.10
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	44	39	$165.00	$91.29
76882 Limited ultrasound scan of joint or other extremity structure except blood vessels	36	24	$70.00	$47.74
20552 Injections of trigger points in 1 or 2 muscles	27	19	$85.00	$46.90
73030 X-ray of shoulder, minimum of 2 views	21	18	$50.00	$24.96
73502 X-ray of hip, 2-3 views	20	14	$70.00	$35.29
73564 X-ray of knee, 4 or more views	17	13	$70.00	$34.17
73560 X-ray of knee, 1-2 views	14	12	$50.00	$26.62
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	14	12	$70.00	$37.67

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg	128	29	$2.06	$0.02
99213 Established patient office or other outpatient visit, typically 15 minutes	103	91	$120.00	$59.94
20610 Aspiration and/or injection of fluid from large joint	44	31	$112.50	$50.55
76881 Complete ultrasound of joint of arm or leg	40	30	$185.00	$82.16
73030 X-ray of shoulder, minimum of 2 views	12	11	$50.00	$23.63

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg	82	20	$1.00	$0.02
99213 Established patient office or other outpatient visit, typically 15 minutes	63	59	$118.81	$59.97
76881 Complete ultrasound of joint of arm or leg	32	26	$185.00	$95.75
20610 Aspiration and/or injection of fluid from large joint	25	20	$110.00	$50.74

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License FL :PA9101755

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners

Donald Huggard , PA

Physician Assistant

NPI 1700870177

Physician Assistant

Dr. Charles Kollmer , MD

Orthopaedic Surgery

NPI 1821102047

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events

⚠️

NPI Profile Deactivated August 07, 2025

Record deactivated on August 07, 2025

✅

NPI Profile Active April 15, 2015

NPI status registered as active in NPPES database

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Updated Practice Location April 15, 2015

Registered at 812 W INDIAN RIVER BLVD, EDGEWATER, FL 321323429 (Tel: 3864261411)

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Updated Business Mailing Address April 15, 2015

Registered at 830 E 26TH AVE, NEW SMYRNA BEACH, FL 321693616 (Tel: 7276236399)

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Provider Name / Credentials Updated April 15, 2015

Recorded as ROBERT SEGARRA, PAC

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Medical Taxonomy / Specialty Registered (Primary Specialty) April 15, 2015

Physician Assistant (License #:PA9101755 in FL)

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Initial NPI Registration & Enumeration June 28, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1730117078

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: June 28, 2006

Last Update: April 15, 2015

Deactivation Date: August 07, 2025

Update or Correct Profile

Mailing Address

830 E 26th Ave

New Smyrna Beach, FL 321693616

Phone: 7276236399

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.